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HomeMy WebLinkAboutMINUTES - 03162004 - C.31 C.31 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on March 16, 2004 by the following vote: AYES: Supervisors Gioia,Uilkema, Greenberg, DeSaulnier and Glover NOES: None ABSENT: None ABSTAIN: None SUBJECT: Update on the Services Provided by the Mental Health Division at the Crestwood Behavioral Health,Inc. RELISTED to April 6, 2004. I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. Attested: March 16, 2004 John Sweeten, Clerk of the Board Of Supervisors and County Administrat Aumm,stra, By: w Deputy Clerk TO: BOARD OF SUPERVISORS Contra FROM: John Sweeten, County Administrator Costa DATE: March 9, 2003 SUBJECT: Update on the Services Provided by the Mental County Health Division at the Crestwood Behavioral Health, Inc. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: ACCEPT update from the County Administrator and the Department of Health Services, Mental Health Division, regarding the management and security of the Crestwood facility and the status of its operation. FISCAL IMPACT: No financial impact. BACKGROUND: Crestwood's Pleasant Hill Mental Health Rehabilitation Center received the County's first three consumers on October 10, 2003. As of the end of November, there were fifteen (15) consumers residing at the facility. When we reported to you on December 9, 2003, there had been no negative incidents at the facility, and no reports of negative impact on the neighborhood. Since it opened in October 2003, there have been 35 consumers referred to the Center. There are currently 26 residents, with two in college and three in vocational training. There have been nine people discharged, three to board and care homes, four to out-of-county locked facilities and two to home. CONTINUED ON ATTACHMENT: YES SIGNA CURE: —--------------------- —-----------------------------------------------------—------ �;AR� ,,--,4'RECOMMENDATION OF COUNTY ADMINISTRATOR RECO DATION OF BOARD COMMITTEE _k,,::�APPROVE OTHER SIGNATURE(S): -------------------- -- ----------- --- - -- - ------------------------------------------—--------------------—--------------------------—------- f 1, ACTION OF BOA D N APPROVE AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED CONTACT: JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: County Administrator Health Services—Mental Health BY DEPUTY To date, staff at Crestwood Behavioral Health, Inc. decided to hospitalize a consumer under Health and Welfare Code 5150 one time and has removed three others from the facility. # • On January 20, 2004 a consumer failed to return to the designated meeting location following an outing to a bookstore. Crestwood staff conducted a search of the immediate vicinity but was unable to locate the consumer. The staff then notified their management staff at the Pleasant Hill facility and was instructed to return the group to the facility without the missing consumer. The facility contacted the Pleasant Hill Police Department. The consumer subsequently returned to the facility on his own six hours later. A toxicology screening was immediately performed as required. On January 26, 2004 the consumer was subsequently sent to another care facility and the State Department of Mental Health was notified. The Neighborhood Oversight Committee was informed of the incident. • On February 14, 2004 two consumers got into a verbal argument in a room they shared. Crestwood staff was unable to calm down one of the consumers. Pleasant Hill Police were called by the Crestwood staff and responded to the facility. The consumer was removed from the facility under Health and Welfare Code section 5150. This was an "in-facility" incident. Because of this, a report to the State Department of Mental Health is not required. Reports of incidents inside the facility are not routinely reported to the Neighborhood Oversight Committee. The Committee was informed of and agreed to this in December 2003. • On February 18, 2004 a newly arrived consumer decided he wanted to leave the facility the day after he was admitted. A staff member saw him leave and followed him in her car while he walked to a local restaurant. Before approaching the consumer the staff member decided to request the assistance of the Pleasant Hill Police. The consumer was returned to the facility and later voluntarily returned to his previous placement. Crestwood's understanding is that the consumer was not AWOL as he was never out of the line of sight of a staff member. However, Crestwood decided to request a determination from the State Department of Mental Health on whether an incident of this type should be considered an AWOL. Because Crestwood does not consider the consumer AWOL, the Neighborhood Oversight Committee has not been notified. If the State determines that the incident should be treated as an AWOL, the Committee will be notified. • One consumer was returned to the previous facility without incident. The Crestwood staff and the consumer agreed that returning to the previous facility was in the consumer's best interest. Crestwood is notifying the County of all incidents. Crestwood is also making an effort to inform the Neighborhood Oversight Committee and the Pleasant Hill Police Department as appropriate. The Pleasant Hill Police Department is also keeping the Pleasant Hill city staff informed. I believe that the staff at the Crestwood Pleasant Hill Healing Center is making a concerted effort to meet the intent of their agreement with the residents. As you know, consumers who are referred to the Crestwood facility have already undergone treatment for several months at a higher level of care and are ready to reenter their community. Licensed mental health staff carefully review potential candidates to determine if they are appropriate for placement in this facility (for example, clean and sober, medication compliant, no recent history of assaultive behavior, and some success in developing daily living skills). There has been one meeting of the Neighborhood Oversight Advisory Committee. Crestwood and County staff were present at this meeting. The next meeting is scheduled for mid-March 2004. Representatives from the Mental Health Division continue to be available to the Neighborhood Committee when requested. I